Individual provider Active NPI

Robert S Zirlis, RPH

  • Pharmacist
  • Wallingford, CT
National Provider Identifier
1609467273
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0008225 Issued in CT
Practice address
10 Fairfield Blvd Unit C2
Wallingford, CT 06492-5903
Phone
(203) 691-9619
Fax
(203) 815-1661
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT0008225 CT Primary

Addresses

Primary practice location

10 Fairfield Blvd Unit C2
Wallingford, CT 06492-5903

Mailing address

7 Stonewall LN
Clinton, CT 06413-2531
Phone (860) 969-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT0008225CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Pharmacy East Rock LTC CurrentSince Jan 31, 2021 Accepting new patients

Locations

10 Fairfield Blvd
Unit C2
Wallingford, CT 06492
Phone (203) 691-5405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1609467273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STONEWALL LN",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132531",
            "telephone_number": "860-969-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD UNIT C2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-691-9619",
            "fax_number": "203-815-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRLIS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.